Puerperal and menstrual bleeding patterns with different types of contraceptive device fitted during elective cesarean delivery.

MedLine Citation:

PMID:
22036512
Owner:
NLM
Status:
Publisher

Abstract/OtherAbstract:

OBJECTIVE: To evaluate the impact of a copper-containing intrauterine contraceptive device (IUCD) and the levonorgestrel-releasing intrauterine system (IUS) on puerperal and menstrual bleeding when fitted intraoperatively during scheduled elective cesarean. METHODS: Participants were allocated to 3 groups: cesarean with no device inserted; IUCD inserted during cesarean; and IUS inserted during cesarean. RESULTS: There was significantly shorter and lighter puerperium in the IUS group (20.2±7.7days and 3.1±1.6 pads/day) than in the IUCD (33.4±9.5days and 4.9±2.4 pads/day) and the control (27.0±11.4days and 4.9±2.3 pads/day) groups (P<0.012 and P<0.0001, respectively). At the end of puerperium, mean duration of amenorrhea was significantly longer in the IUS group than in the IUCD and control groups (P<0.0001). Menstrual periods were longer and heavier in the IUCD group than in the control group but the difference was not significant (P>0.07). In the IUS group, menstrual periods were significantly shorter and lighter than in the other groups (P<0.0001). CONCLUSION: Intrauterine system fitting at the time of elective cesarean is associated with significant reductions in the duration and amount of puerperal blood loss, as well as a high incidence of amenorrhea and lighter periods thereafter.

Authors:

Mervat S E Elsedeek

Publication Detail:

Type:
JOURNAL ARTICLE
Date:
2011-10-27

Journal Detail:

Title:
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Volume:
-
ISSN:
1879-3479
ISO Abbreviation:
-
Publication Date:
2011 Oct